How is this true @bnallamo & @venkmurthy?pic.twitter.com/kNMPqI7pSZ
Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him
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How is this true @bnallamo & @venkmurthy?pic.twitter.com/kNMPqI7pSZ
Yes much of that editorial confused me. There's no specific reference on the CDC slides, but presumably the "certain circumstances" that they are recommending are quite similar to the stance of the editorial itself
False statements abound! Slides are not official guidance statements. Guidance was linked in article and is silent on this issue. Those exact slides are also explicitly linked and we in fact reproduce that very same language from their slide. Please reread the article.
That confuses me even more - if guidance is silent on the issue aside from the slides, and the slides appear to agree with your position, then what's your article actually arguing?
We disagree with the slides too. Giving any vaccine to people with h/o myocarditis without discussion is not appropriate.
Most people with vax associated myocarditis shouldn't get redosed. Vague guidance emphasizing possibility or redosing rather than the rarity of circumstances where that makes sense is problematic.
But the slides don't appear to say that they should get redosed? While there is admittedly limited information, the first point is to wait before any further doses, and the second is getting patients to talk to their treating clinician if they still want to go ahead
Actually they open the door to it quite broadly. A serious adverse reaction to a drug is almost always seen as a strong relative or even absolute contraindication. They don't present it as such.
I'm not sure I understand your reading here - they imply it's a strong contraindication and that any exception should be discussed widely before proceeding
Nothing of the sort. If the heart has recovered, could consider it after discussion. Where is the strong contraindication? I certainly don't see it.
They say to defer the second dose, and only proceed in certain circumstances after discussion with clinical team. It's not comprehensive guidance, but do you think that patients who follow this and speak to their clinical team before considering a 2nd dose will be at risk?
Venk- how do you want this worded? That might help with this unproductive discussion about the meanings of words.
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